Dr Kim Loo is an active carer. She is inspired by her Permaculture garden, her Permie pod helpers and her patients. Kim is a member of Doctors for the Environment and other climate advocacy groups. She has noticed a big shift in people’s appreciation of the connection between health and the environment. In this interview she shares a lot of great ideas and encourages us to get active and finding joy.
What does Permaculture do for you?
Dr Kim Loo said “well I suppose in a way because my family are Buddhists and in a way it kind of aligns with Buddhism anyway in terms of the principles and the concepts, And it was just lovely to actually finally go to Permaculture and realize there’s a whole lot of people who are aligned with what I line with which is to protect nature work with nature and rewild my garden. I’ve never been super structured with my garden. I get edible plants that grow in outside areas. I leave them alone.
I’ve been a Doctor for 35 years now. We’re actually about to have our 35 year reunion from Sydney University Medical School. Health can’t be seen in isolation. Because health is impacted by all the systems around health. And the way that I approach health is the way a lot of my friends, who are doctors, approach Health.
Core of health – Biological and Social Determinants
We look at the core of health and the biological determinants of health. So, I ask what their family history is: whether there’s any vascular disease, whether there’s an anxiety depression, diabetes, cancers. Then I look at their health in terms of what they currently have how they live.
Then I also actually look at the social determinants. Because the social determinants of health is super, super important. My mother’s a social worker. So, being really cognizant of social determinants is really important. This includes where people are born, where they live, where they go to school where they work. And really how a person is supported. This framework determines how well they recover from any sort of mental or physical illness.
Commercial Pressures on health
And also then I look at the commercial determinants of health. This includes the tobacco industry, the alcohol industry, gambling industry, the processed food industry and the fossil fuel industry. All these industries are powerful Industries. They have deep pockets. And large marketing teams who don’t consider the health of the population. I ask ‘do they have gas at home inside the house? Indoor gas can cause asthma in kids and sensitize them for house dust mite. And I ask people to consider little details like not to idle near school drop off and pick up because their kids will be sucking in all that air pollution.

Environmental Determinants
And then I look at the environmental determinant of Health which is clean air water healthy soils, stable climate and a healthy ecosystem so you look at where they live do they have a space for walking in nature. Do they have a garden when I see a patient to look at all these determinants of health.
“If you don’t understand how people live,
you can’t actually look out of them effectively”
Physician Dr Kim LooHow can people live well?
People can live well if they have to have somewhere safe to stay. And they can adequately keep warm when it’s cold and keeping cool when it’s hot. They have people around them to support them. And they have access to fresh food and skills to process fresh food. Because fresh food is more expensive than processed food. And wellness is also about how much they move during the day. A lot of people are quite sedentary. So, it’s good to get people to be ‘behaviourally activate’. Also, wellness depends on how they sleep.
Finally, we live well from having something that brings joy. With a hobby people thrive and not just live.

Advocacy for Systems Thinking
I’ve been in systems advocacies for the last 10 years so because it can feel quite overwhelming when you realize it is a systems problem. Because not everyone completely understands this. And there’s so much disinformation at the moment around. I encourage all my doctor friends. I’m in doctors for the environment. We do multiple things including trying to insert climate change into the medical curriculum in all the universities we have a sustainability team that looks at emissions from the really the hospital sector 7% of emissions in Australia from the healthcare sector. Not many people know this.
We also have ethical investment arms where we do internal lobbying and shareholder activism. A lot of banks own fossil fuel shares. We also continue lobbying for every single tree that’s going be cut down because the loss of biodiversity in Australia is terrible. So, we work with other groups like World Wildlife Fund.”

Kim Models Wellbeing
Kim continues “My tea each day is lemon Myrtle and lemongrass ’cause I’m trying to wean myself off coffee. I show it to people and they say ‘oh my God it smells so nice just to have create your own tea from your own garden. Once you establish this, it’s cheap. Instead of buying bags of drinks you are actually getting stuff from your garden. There’s a lot of groups that working together in alliances. This wasn’t happening 10 years ago. Now there is a network of people working together which is a great thing. Every time we have a local permaculture pod get together, sitting down eating with other people, we are creating a community of people who understand and care.”
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